NPI: 1770658510 · BAXTER, MN 56401 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,380 | $10K |
| 2019 | 903 | $27K |
| 2020 | 670 | $22K |
| 2021 | 609 | $17K |
| 2022 | 365 | $10K |
| 2023 | 669 | $26K |
| 2024 | 312 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,234 | 1,175 | $37K |
| V2784 | Lens polycarb or equal | 562 | 521 | $23K |
| 92014 | 357 | 342 | $21K | |
| 92340 | 843 | 811 | $15K | |
| 92015 | 1,245 | 1,197 | $13K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 536 | 514 | $9K |
| 92004 | 57 | 51 | $5K | |
| 99072 | 47 | 47 | $798.00 | |
| V2715 | Prism lens/es | 27 | 24 | $61.38 |